Perfil clínico y social del paciente adicto hospitalizado
Objectives: To determine the clinical features and morbidity of addict patients (pac.) admitted to a Service of Medical Clinic. Material and Methods: In a protocolized, descriptive and observational study of 24 month we studied patients patient addicted to consumption of illicit substances. Prel...
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| Publicado en: | Revista Médica Universitaria |
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| Autores principales: | , , , |
| Materias: | |
| Acceso en línea: | https://bdigital.uncu.edu.ar/fichas.php?idobjeto=3441 |
| Sumario: | Objectives: To determine the clinical features and morbidity of addict patients
(pac.) admitted to a Service of Medical Clinic.
Material and Methods: In a protocolized, descriptive and observational study of
24 month we studied patients patient addicted to consumption of illicit
substances. Preliminary Report. Data was analized with Epi Info 6.4.
Results: 40 patients included. Prevalence: 0.2/1000 exits. The 82.5%
(CI95%67.22-92.66) were men. Average Age: 31.5 years (SD±9.65), the mean
hospital stay: 11 days (SD±13.98) vs. 7.12 (SD±10.1) of the Service (p=0.016).
The 82.5% cocaine consumers (CI95%67.22-92.66) 77.5% marijuana
consumers (CI95% 61.65-77.92), toluene 10 % (CI95%2.79-23.66), Datura
metel and Hashish 2.5% (CI95 0.06-13.16) each. In the 2.5%, the way of
administration was endovenous and 60% were poli-addicts. Only 10% received
treatment to quit the addiction (100% psychological treatment and 5.13%
pharmacological). Poor social class 75% (CI95%58.80-87.31); middle class
22.5% (CI95%10.84-38.45) and vagrant 2.5%. The 62.5% of the patients were
unemployed (CI95%45.80-77.27), a 10% had a criminal record (CI95%2.79-
23.66), and the 7.5% had been in prison. The 92.5% were heterosexual, 2.5%
men had had sex with men and 5% were bisexual. Only 10% had completed
secondary education. The 80% admission by emergencies (CI95% 64.35-
90.95) and 45% by infectious cause (CI95%29.26-61.51). The events
associated with addiction were: manifestations of central nervous system:
12.5% (CI95%4.19-26.80); abstinence and tremor 7.5% each and psychomotor
hyperactivity, delirium, a sign of neurological focus and rigidity 5 percent each.
The 100% had any comorbidities; smoking 80%, depression 12.82% and
alcoholism 57.5%, among others; 5 patients presented sexually transmitted
diseases (4 HIV, 2 HCV and 1 pediculus pubis). There was no hospital
mortality.
Conclusion: The hospitalized addicted patient is characterized by being young,
belonging to a social group unprotected, unemployed and uneducated, having
poli-addiction, with high burden of comorbid and of hospitalization, mainly by
infectious complications.
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